<style type="text/css">
.elq-form .elq-required{
color:red!important;
display:inline;
float:none;
font-weight:700;
margin:0;
padding:0}
.elq-form #elq-FormLastRow{
position:absolute;
left:-80%;
top:-80%}
.elq-form .elq-label{
display:inline-block;
max-width:100%;
font-weight:400;
box-sizing:border-box;
margin-bottom:0}
.elq-form .elq-label-top{
padding-bottom:3px}
.elq-form .elq-item-label{
max-width:100%;
font-weight:400;
box-sizing:border-box}
.elq-form .list-order{
margin-left:0;
white-space:nowrap;
overflow:hidden;
text-overflow:ellipsis}
.elq-form .one-column{
width:100%;
clear:both}
.elq-form .two-column{
float:left;
width:38%}
.elq-form .three-column{
float:left;
width:30%}
.elq-form .elq-item-textarea{
resize:vertical;
min-height:48px;
max-height:360px;
box-sizing:border-box}
.elq-form .elq-item-input,.elq-form .elq-item-select,.elq-form .elq-item-textarea{
font-family:inherit;
font-size:inherit;
line-height:inherit;
color:inherit;
font:inherit;
margin:0}
.elq-form .elq-item-select{
text-transform:none}
.elq-form .row.single-checkbox-row{
margin-left:0}
.elq-form .elq-field-style{
padding-bottom:10px}
.elq-form .elq-field-style input[type=submit]{
-webkit-appearance:square-button}
@-webkit-keyframes spin{
0%{
-webkit-transform:rotate(0deg)}
to{
-webkit-transform:rotate(1turn)}
}
@keyframes spin{
0%{
transform:rotate(0deg)}
to{
transform:rotate(1turn)}
}
.elq-form .loader{
vertical-align:middle;
display:inline-block;
margin-left:10px;
border:3px solid #f3f3f3;
border-radius:50%;
border-top:3px solid #3498db;
width:20px;
height:20px;
-webkit-animation:spin 2s linear infinite;
animation:spin 2s linear infinite}
.elq-form input[type=checkbox],.elq-form input[type=radio]{
margin:0}
.elq-form .list-order input[type=radio]{
margin-left:1px}
.elq-form *,.elq-form :after,.elq-form :before{
box-sizing:border-box}
.elq-form html{
font-size:10px;
-webkit-tap-highlight-color:transparent}
.elq-form body{
font-family:Helvetica Neue,Helvetica,Arial,sans-serif;
font-size:14px;
line-height:1.42857;
color:#333;
background-color:#fff}
.elq-form button,.elq-form input,.elq-form select,.elq-form textarea{
font-family:inherit;
font-size:inherit;
line-height:inherit}
.elq-form a{
color:#337ab7;
text-decoration:none}
.elq-form a:focus,.elq-form a:hover{
color:#23527c;
text-decoration:underline}
.elq-form a:focus{
outline:5px auto -webkit-focus-ring-color;
outline-offset:-2px}
.elq-form figure{
margin:0}
.elq-form img{
vertical-align:middle}
.elq-form .img-responsive{
display:block;
max-width:100%;
height:auto}
.elq-form .img-rounded{
border-radius:6px}
.elq-form .img-thumbnail{
padding:4px;
line-height:1.42857;
background-color:#fff;
border:1px solid #ddd;
border-radius:4px;
transition:all .2s ease-in-out;
display:inline-block;
max-width:100%;
height:auto}
.elq-form .img-circle{
border-radius:50%}
.elq-form hr{
margin-top:20px;
margin-bottom:20px;
border:0;
border-top:1px solid #eee}
.elq-form .sr-only{
position:absolute;
width:1px;
height:1px;
padding:0;
margin:-1px;
overflow:hidden;
clip:rect(0,0,0,0);
border:0}
.elq-form .sr-only-focusable:active,.elq-form .sr-only-focusable:focus{
position:static;
width:auto;
height:auto;
margin:0;
overflow:visible;
clip:auto}
.elq-form [role=button]{
cursor:pointer}
.elq-form .container{
padding-right:15px;
padding-left:15px;
margin-right:auto;
margin-left:auto}
.elq-form .container:after,.elq-form .container:before{
display:table;
content:" "}
.elq-form .container:after{
clear:both}
@media (min-width:768px){
.elq-form .container{
width:750px}
}
@media (min-width:992px){
.elq-form .container{
width:970px}
}
@media (min-width:1200px){
.elq-form .container{
width:1170px}
}
.elq-form .container-fluid{
padding-right:15px;
padding-left:15px;
margin-right:auto;
margin-left:auto}
.elq-form .container-fluid:after,.elq-form .container-fluid:before{
display:table;
content:" "}
.elq-form .container-fluid:after{
clear:both}
.elq-form .row{
margin-right:-15px;
margin-left:-15px}
.elq-form .row:after,.elq-form .row:before{
display:table;
content:" "}
.elq-form .row:after{
clear:both}
.elq-form .row-no-gutters{
margin-right:0;
margin-left:0}
.elq-form .row-no-gutters [class*=col-]{
padding-right:0;
padding-left:0}
.elq-form .col-lg-1,.elq-form .col-lg-2,.elq-form .col-lg-3,.elq-form .col-lg-4,.elq-form .col-lg-5,.elq-form .col-lg-6,.elq-form .col-lg-7,.elq-form .col-lg-8,.elq-form .col-lg-9,.elq-form .col-lg-10,.elq-form .col-lg-11,.elq-form .col-lg-12,.elq-form .col-md-1,.elq-form .col-md-2,.elq-form .col-md-3,.elq-form .col-md-4,.elq-form .col-md-5,.elq-form .col-md-6,.elq-form .col-md-7,.elq-form .col-md-8,.elq-form .col-md-9,.elq-form .col-md-10,.elq-form .col-md-11,.elq-form .col-md-12,.elq-form .col-sm-1,.elq-form .col-sm-2,.elq-form .col-sm-3,.elq-form .col-sm-4,.elq-form .col-sm-5,.elq-form .col-sm-6,.elq-form .col-sm-7,.elq-form .col-sm-8,.elq-form .col-sm-9,.elq-form .col-sm-10,.elq-form .col-sm-11,.elq-form .col-sm-12,.elq-form .col-xs-1,.elq-form .col-xs-2,.elq-form .col-xs-3,.elq-form .col-xs-4,.elq-form .col-xs-5,.elq-form .col-xs-6,.elq-form .col-xs-7,.elq-form .col-xs-8,.elq-form .col-xs-9,.elq-form .col-xs-10,.elq-form .col-xs-11,.elq-form .col-xs-12{
position:relative;
min-height:1px;
padding-right:15px;
padding-left:15px}
.elq-form .col-xs-1,.elq-form .col-xs-2,.elq-form .col-xs-3,.elq-form .col-xs-4,.elq-form .col-xs-5,.elq-form .col-xs-6,.elq-form .col-xs-7,.elq-form .col-xs-8,.elq-form .col-xs-9,.elq-form .col-xs-10,.elq-form .col-xs-11,.elq-form .col-xs-12{
float:left}
.elq-form .col-xs-1{
width:8.33333%}
.elq-form .col-xs-2{
width:16.66667%}
.elq-form .col-xs-3{
width:25%}
.elq-form .col-xs-4{
width:33.33333%}
.elq-form .col-xs-5{
width:41.66667%}
.elq-form .col-xs-6{
width:50%}
.elq-form .col-xs-7{
width:58.33333%}
.elq-form .col-xs-8{
width:66.66667%}
.elq-form .col-xs-9{
width:75%}
.elq-form .col-xs-10{
width:83.33333%}
.elq-form .col-xs-11{
width:91.66667%}
.elq-form .col-xs-12{
width:100%}
.elq-form .col-xs-pull-0{
right:auto}
.elq-form .col-xs-pull-1{
right:8.33333%}
.elq-form .col-xs-pull-2{
right:16.66667%}
.elq-form .col-xs-pull-3{
right:25%}
.elq-form .col-xs-pull-4{
right:33.33333%}
.elq-form .col-xs-pull-5{
right:41.66667%}
.elq-form .col-xs-pull-6{
right:50%}
.elq-form .col-xs-pull-7{
right:58.33333%}
.elq-form .col-xs-pull-8{
right:66.66667%}
.elq-form .col-xs-pull-9{
right:75%}
.elq-form .col-xs-pull-10{
right:83.33333%}
.elq-form .col-xs-pull-11{
right:91.66667%}
.elq-form .col-xs-pull-12{
right:100%}
.elq-form .col-xs-push-0{
left:auto}
.elq-form .col-xs-push-1{
left:8.33333%}
.elq-form .col-xs-push-2{
left:16.66667%}
.elq-form .col-xs-push-3{
left:25%}
.elq-form .col-xs-push-4{
left:33.33333%}
.elq-form .col-xs-push-5{
left:41.66667%}
.elq-form .col-xs-push-6{
left:50%}
.elq-form .col-xs-push-7{
left:58.33333%}
.elq-form .col-xs-push-8{
left:66.66667%}
.elq-form .col-xs-push-9{
left:75%}
.elq-form .col-xs-push-10{
left:83.33333%}
.elq-form .col-xs-push-11{
left:91.66667%}
.elq-form .col-xs-push-12{
left:100%}
.elq-form .col-xs-offset-0{
margin-left:0}
.elq-form .col-xs-offset-1{
margin-left:8.33333%}
.elq-form .col-xs-offset-2{
margin-left:16.66667%}
.elq-form .col-xs-offset-3{
margin-left:25%}
.elq-form .col-xs-offset-4{
margin-left:33.33333%}
.elq-form .col-xs-offset-5{
margin-left:41.66667%}
.elq-form .col-xs-offset-6{
margin-left:50%}
.elq-form .col-xs-offset-7{
margin-left:58.33333%}
.elq-form .col-xs-offset-8{
margin-left:66.66667%}
.elq-form .col-xs-offset-9{
margin-left:75%}
.elq-form .col-xs-offset-10{
margin-left:83.33333%}
.elq-form .col-xs-offset-11{
margin-left:91.66667%}
.elq-form .col-xs-offset-12{
margin-left:100%}
@media (min-width:768px){
.elq-form .col-sm-1,.elq-form .col-sm-2,.elq-form .col-sm-3,.elq-form .col-sm-4,.elq-form .col-sm-5,.elq-form .col-sm-6,.elq-form .col-sm-7,.elq-form .col-sm-8,.elq-form .col-sm-9,.elq-form .col-sm-10,.elq-form .col-sm-11,.elq-form .col-sm-12{
float:left}
.elq-form .col-sm-1{
width:8.33333%}
.elq-form .col-sm-2{
width:16.66667%}
.elq-form .col-sm-3{
width:25%}
.elq-form .col-sm-4{
width:33.33333%}
.elq-form .col-sm-5{
width:41.66667%}
.elq-form .col-sm-6{
width:50%}
.elq-form .col-sm-7{
width:58.33333%}
.elq-form .col-sm-8{
width:66.66667%}
.elq-form .col-sm-9{
width:75%}
.elq-form .col-sm-10{
width:83.33333%}
.elq-form .col-sm-11{
width:91.66667%}
.elq-form .col-sm-12{
width:100%}
.elq-form .col-sm-pull-0{
right:auto}
.elq-form .col-sm-pull-1{
right:8.33333%}
.elq-form .col-sm-pull-2{
right:16.66667%}
.elq-form .col-sm-pull-3{
right:25%}
.elq-form .col-sm-pull-4{
right:33.33333%}
.elq-form .col-sm-pull-5{
right:41.66667%}
.elq-form .col-sm-pull-6{
right:50%}
.elq-form .col-sm-pull-7{
right:58.33333%}
.elq-form .col-sm-pull-8{
right:66.66667%}
.elq-form .col-sm-pull-9{
right:75%}
.elq-form .col-sm-pull-10{
right:83.33333%}
.elq-form .col-sm-pull-11{
right:91.66667%}
.elq-form .col-sm-pull-12{
right:100%}
.elq-form .col-sm-push-0{
left:auto}
.elq-form .col-sm-push-1{
left:8.33333%}
.elq-form .col-sm-push-2{
left:16.66667%}
.elq-form .col-sm-push-3{
left:25%}
.elq-form .col-sm-push-4{
left:33.33333%}
.elq-form .col-sm-push-5{
left:41.66667%}
.elq-form .col-sm-push-6{
left:50%}
.elq-form .col-sm-push-7{
left:58.33333%}
.elq-form .col-sm-push-8{
left:66.66667%}
.elq-form .col-sm-push-9{
left:75%}
.elq-form .col-sm-push-10{
left:83.33333%}
.elq-form .col-sm-push-11{
left:91.66667%}
.elq-form .col-sm-push-12{
left:100%}
.elq-form .col-sm-offset-0{
margin-left:0}
.elq-form .col-sm-offset-1{
margin-left:8.33333%}
.elq-form .col-sm-offset-2{
margin-left:16.66667%}
.elq-form .col-sm-offset-3{
margin-left:25%}
.elq-form .col-sm-offset-4{
margin-left:33.33333%}
.elq-form .col-sm-offset-5{
margin-left:41.66667%}
.elq-form .col-sm-offset-6{
margin-left:50%}
.elq-form .col-sm-offset-7{
margin-left:58.33333%}
.elq-form .col-sm-offset-8{
margin-left:66.66667%}
.elq-form .col-sm-offset-9{
margin-left:75%}
.elq-form .col-sm-offset-10{
margin-left:83.33333%}
.elq-form .col-sm-offset-11{
margin-left:91.66667%}
.elq-form .col-sm-offset-12{
margin-left:100%}
}
@media (min-width:992px){
.elq-form .col-md-1,.elq-form .col-md-2,.elq-form .col-md-3,.elq-form .col-md-4,.elq-form .col-md-5,.elq-form .col-md-6,.elq-form .col-md-7,.elq-form .col-md-8,.elq-form .col-md-9,.elq-form .col-md-10,.elq-form .col-md-11,.elq-form .col-md-12{
float:left}
.elq-form .col-md-1{
width:8.33333%}
.elq-form .col-md-2{
width:16.66667%}
.elq-form .col-md-3{
width:25%}
.elq-form .col-md-4{
width:33.33333%}
.elq-form .col-md-5{
width:41.66667%}
.elq-form .col-md-6{
width:50%}
.elq-form .col-md-7{
width:58.33333%}
.elq-form .col-md-8{
width:66.66667%}
.elq-form .col-md-9{
width:75%}
.elq-form .col-md-10{
width:83.33333%}
.elq-form .col-md-11{
width:91.66667%}
.elq-form .col-md-12{
width:100%}
.elq-form .col-md-pull-0{
right:auto}
.elq-form .col-md-pull-1{
right:8.33333%}
.elq-form .col-md-pull-2{
right:16.66667%}
.elq-form .col-md-pull-3{
right:25%}
.elq-form .col-md-pull-4{
right:33.33333%}
.elq-form .col-md-pull-5{
right:41.66667%}
.elq-form .col-md-pull-6{
right:50%}
.elq-form .col-md-pull-7{
right:58.33333%}
.elq-form .col-md-pull-8{
right:66.66667%}
.elq-form .col-md-pull-9{
right:75%}
.elq-form .col-md-pull-10{
right:83.33333%}
.elq-form .col-md-pull-11{
right:91.66667%}
.elq-form .col-md-pull-12{
right:100%}
.elq-form .col-md-push-0{
left:auto}
.elq-form .col-md-push-1{
left:8.33333%}
.elq-form .col-md-push-2{
left:16.66667%}
.elq-form .col-md-push-3{
left:25%}
.elq-form .col-md-push-4{
left:33.33333%}
.elq-form .col-md-push-5{
left:41.66667%}
.elq-form .col-md-push-6{
left:50%}
.elq-form .col-md-push-7{
left:58.33333%}
.elq-form .col-md-push-8{
left:66.66667%}
.elq-form .col-md-push-9{
left:75%}
.elq-form .col-md-push-10{
left:83.33333%}
.elq-form .col-md-push-11{
left:91.66667%}
.elq-form .col-md-push-12{
left:100%}
.elq-form .col-md-offset-0{
margin-left:0}
.elq-form .col-md-offset-1{
margin-left:8.33333%}
.elq-form .col-md-offset-2{
margin-left:16.66667%}
.elq-form .col-md-offset-3{
margin-left:25%}
.elq-form .col-md-offset-4{
margin-left:33.33333%}
.elq-form .col-md-offset-5{
margin-left:41.66667%}
.elq-form .col-md-offset-6{
margin-left:50%}
.elq-form .col-md-offset-7{
margin-left:58.33333%}
.elq-form .col-md-offset-8{
margin-left:66.66667%}
.elq-form .col-md-offset-9{
margin-left:75%}
.elq-form .col-md-offset-10{
margin-left:83.33333%}
.elq-form .col-md-offset-11{
margin-left:91.66667%}
.elq-form .col-md-offset-12{
margin-left:100%}
}
@media (min-width:1200px){
.elq-form .col-lg-1,.elq-form .col-lg-2,.elq-form .col-lg-3,.elq-form .col-lg-4,.elq-form .col-lg-5,.elq-form .col-lg-6,.elq-form .col-lg-7,.elq-form .col-lg-8,.elq-form .col-lg-9,.elq-form .col-lg-10,.elq-form .col-lg-11,.elq-form .col-lg-12{
float:left}
.elq-form .col-lg-1{
width:8.33333%}
.elq-form .col-lg-2{
width:16.66667%}
.elq-form .col-lg-3{
width:25%}
.elq-form .col-lg-4{
width:33.33333%}
.elq-form .col-lg-5{
width:41.66667%}
.elq-form .col-lg-6{
width:50%}
.elq-form .col-lg-7{
width:58.33333%}
.elq-form .col-lg-8{
width:66.66667%}
.elq-form .col-lg-9{
width:75%}
.elq-form .col-lg-10{
width:83.33333%}
.elq-form .col-lg-11{
width:91.66667%}
.elq-form .col-lg-12{
width:100%}
.elq-form .col-lg-pull-0{
right:auto}
.elq-form .col-lg-pull-1{
right:8.33333%}
.elq-form .col-lg-pull-2{
right:16.66667%}
.elq-form .col-lg-pull-3{
right:25%}
.elq-form .col-lg-pull-4{
right:33.33333%}
.elq-form .col-lg-pull-5{
right:41.66667%}
.elq-form .col-lg-pull-6{
right:50%}
.elq-form .col-lg-pull-7{
right:58.33333%}
.elq-form .col-lg-pull-8{
right:66.66667%}
.elq-form .col-lg-pull-9{
right:75%}
.elq-form .col-lg-pull-10{
right:83.33333%}
.elq-form .col-lg-pull-11{
right:91.66667%}
.elq-form .col-lg-pull-12{
right:100%}
.elq-form .col-lg-push-0{
left:auto}
.elq-form .col-lg-push-1{
left:8.33333%}
.elq-form .col-lg-push-2{
left:16.66667%}
.elq-form .col-lg-push-3{
left:25%}
.elq-form .col-lg-push-4{
left:33.33333%}
.elq-form .col-lg-push-5{
left:41.66667%}
.elq-form .col-lg-push-6{
left:50%}
.elq-form .col-lg-push-7{
left:58.33333%}
.elq-form .col-lg-push-8{
left:66.66667%}
.elq-form .col-lg-push-9{
left:75%}
.elq-form .col-lg-push-10{
left:83.33333%}
.elq-form .col-lg-push-11{
left:91.66667%}
.elq-form .col-lg-push-12{
left:100%}
.elq-form .col-lg-offset-0{
margin-left:0}
.elq-form .col-lg-offset-1{
margin-left:8.33333%}
.elq-form .col-lg-offset-2{
margin-left:16.66667%}
.elq-form .col-lg-offset-3{
margin-left:25%}
.elq-form .col-lg-offset-4{
margin-left:33.33333%}
.elq-form .col-lg-offset-5{
margin-left:41.66667%}
.elq-form .col-lg-offset-6{
margin-left:50%}
.elq-form .col-lg-offset-7{
margin-left:58.33333%}
.elq-form .col-lg-offset-8{
margin-left:66.66667%}
.elq-form .col-lg-offset-9{
margin-left:75%}
.elq-form .col-lg-offset-10{
margin-left:83.33333%}
.elq-form .col-lg-offset-11{
margin-left:91.66667%}
.elq-form .col-lg-offset-12{
margin-left:100%}
}
.elq-form .row{
display:inherit}
.LV_invalid_field,input.LV_invalid_field:active,input.LV_invalid_field:hover,textarea.LV_invalid_field:active,textarea.LV_invalid_field:hover{
outline:1px solid #c00}
.LV_validation_message{
font-weight:700;
margin:0 0 0 5px}
.LV_valid{
display:none}
.LV_invalid{
color:#c00;
font-size:10px}
.submit-button-style{
padding:7px 20px;
border:1px solid #979797;
border-radius:3px;
background-color:#fff;
color:#4a4a4a;
cursor:pointer}
.checkbox-aligned{
margin-left:5px;
display:inline}
.form-element-layout{
padding:5px 10px}
.form-element-instruction{
font-size:10px}
.form-element-form-text{
margin:0}
.form-field-visible-xs-block{
display:none}
.elq-form-design-field .list-order input[type=radio]{
margin-left:1px}
@media (max-width:767px){
.form-field-visible-xs-block{
display:block}
}
.form-field-hidden-xs{
display:block}
@media (max-width:767px){
.form-field-hidden-xs{
display:none}
}
.custom-overlay{
margin-left:2px;
background:#fff;
box-shadow:0 0 4px 0 #777;
border-radius:2px;
max-width:256px}
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<form method="post" name="kopiAfDK042022CitrixAMSFORM:Kopier-1648545960692" action="https://s1039926866.t.eloqua.com/e/f2" onsubmit="return handleFormSubmit(this)" id="form1185" class="elq-form">
<input value="kopiAfDK042022CitrixAMSFORM:Kopier-1648545960692" type="hidden" name="elqFormName">
<input value="1039926866" type="hidden" name="elqSiteId">
<input name="elqCampaignId" type="hidden">
<div class="layout container-fluid">
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement0" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe12423">Fornavn
<span class="elq-required">*
</span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="FirstName" id="fe12423" value="" style="width:100%;">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement1" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe12424">Efternavn
<span class="elq-required">*
</span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="LastName" id="fe12424" value="" style="width:100%;">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement2" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe12425">Titel
<span class="elq-required">*
</span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="title" id="fe12425" value="" style="width:100%;">
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</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement3" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe12426">Virksomhed
<span class="elq-required">*
</span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="company" id="fe12426" value="" style="width:100%;">
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</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
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<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe12427">Telefon
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</span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper">
<input type="text" class="elq-item-input" name="mobilephone" id="fe12427" value="" style="width:100%;">
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</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement5" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe12428">Firma e-mail adresse
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<div class="col-sm-12 col-xs-12">
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<div class="col-xs-12">
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<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement6" class="elq-field-style form-element-layout row">
<div style="text-align:left;" class="col-sm-12 col-xs-12">
<label class="elq-label " for="fe12433"> Vælg hvilken lokation du ønsker at deltage fra
<span class="elq-required">*
</span>
</label>
</div>
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div class="field-control-wrapper" id="fe12433">
<div class="list-order one-column">
<input type="radio" id="radio-Aarhus_qio1chsp" value="Aarhus" name="radioButtons">
<label class="checkbox-aligned elq-item-label" for="radio-Aarhus_qio1chsp">Aarhus
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<br>
</div>
<div class="list-order one-column">
<input type="radio" id="radio-Ballerup_ckzczv66" value="Ballerup" name="radioButtons">
<label class="checkbox-aligned elq-item-label" for="radio-Ballerup_ckzczv66">Ballerup
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<br>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement7" class="elq-field-style form-element-layout row">
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div style="text-align:left;">
<h4 class="elq-heading form-element-form-text">Behandling af persondata
</h4>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement8" class="elq-field-style form-element-layout row">
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div>
<div class="single-checkbox-row row">
<input type="checkbox" name="singleCheckbox2" id="fe12429">
<label class="checkbox-aligned elq-item-label" for="fe12429">3 mdr. plus løbende kvartal.
<span class="elq-required">*
</span>
</label>
</div>
</div>
</div>
</div>
<div class="form-element-instruction">Jeg har læst og accepterer Ateas vilkår og betingelser for opbevaring og deling af personlige data. Vi opbevarer dine data i maksimalt 3 mdr. plus løbende kvartal (3 mdr.), hvorefter det bortskaffes.
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement9" class="elq-field-style form-element-layout row">
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div style="text-align:left;">
<h4 class="elq-heading form-element-form-text">Læs mere om vores Data Privacy Policy
</h4>
</div>
</div>
</div>
<div class="form-element-instruction">https://www.atea.dk/dataprivacypolicy/
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement10" class="elq-field-style form-element-layout row">
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div style="text-align:left;">
<h4 class="elq-heading form-element-form-text">Hold dig opdateret med nyheder og gode tilbud fra Atea Danmark A/S
</h4>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement11" class="elq-field-style form-element-layout row">
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div>
<div class="single-checkbox-row row">
<input type="checkbox" name="permission" id="fe12430">
<label class="checkbox-aligned elq-item-label" for="fe12430">Ja tak, jeg ønsker at modtage nyheder fra Atea og invitationer til spændende events og seminarer
</label>
</div>
</div>
</div>
</div>
<div class="form-element-instruction">Når du tilmelder dig Ateas vidensdelingsprogram, siger du "ja, tak" til, at Atea må kontakte dig via e-mail med nyheder, information, relevante tilbud, invitationer og lignende
</div>
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement12" class="elq-field-style form-element-layout row">
<div class="col-sm-12 col-xs-12">
<div class="row">
<div class="col-xs-12">
<div>
<input type="image" alt="Afsend" src="https://img06.en25.com/EloquaImages/clients/Atea/%7B61255b0d-571b-4c94-8914-8992947200b9%7D_Bekraeft.png" value="Tilmeld dig her" class="submit-button " style="font-size:100%;height:45px;width:167px;">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
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